NPI 1043682453

Shelly Rose Wilkes, LPN

Practitioner Licensed Practical Nurse Grand Prairie, TX

Practice location

Address: 3103 Parham Dr APT 227, Grand Prairie, TX 75052-7726
Phone: (817) 495-4880
Fax: (214) 235-0789

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 2014024802 (MO)

Other Licensed Practical Nurse providers in Texas →

Registry record

NPI: 1043682453
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2015
Record last updated: 24 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.